CAROLINAS MEDICAL ALLIANCE INC (NPI# 1134527229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134527229 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL ALLIANCE INC |
| Other Organization Name | ONCOLOGY CLINIC AT CAROLINAS |
| Practice Address |
1594 Freedom Blvd Ste 205 Florence SC 29505-6046 |
| Practice Telephone | 8436741453 |
| Practice Fax Number | 8436746810 |
| Mailing Telephone | 8436741453 |
| Mailing Fax Number | 8436746810 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | JAMES P WRIGHT (DIRECTOR) |
| Authorized Official Telephone | 6154657633 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHS/COMMUNITY HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oncology Clinic at Carolinas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970867 | Carolinas Medical Alliance Inc | Internal Medicine | 1590 Freedom Blvd Ste C, Florence, SC 29505-6071 | 2014-12-03 |
| 1568869071 | Carolinas Medical Alliance Inc | Family Medicine | 301 Pearl St, Darlington, SC 29532-3812 | 2014-11-26 |
| 1861459174 | Carolinas Medical Alliance Inc | General Practice | 105 N Railroad Ave, Lamar, SC 29069-9727 | 2006-04-28 |
| 1265499537 | Carolinas Medical Alliance Inc | Internal Medicine | 953 Pamplico Hwy South, Pamplico, SC 29583-4058 | 2006-04-28 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1295132355 | Carolinas Medical Alliance Inc | Internal Medicine | 342 W Main St, Kingstree, SC 29556-3235 | 2014-12-04 |
| 1417354606 | Carolinas Medical Alliance Inc | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2014-12-03 |
| 1023411410 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste A220, Florence, SC 29505-6056 | 2014-09-30 |
| 1033518683 | Carolinas Medical Alliance Inc | Internal Medicine | 805 Pamplico Hwy Ste B230, Florence, SC 29505-6066 | 2014-08-20 |
| 1912306572 | Carolinas Medical Alliance Inc | Family Medicine | 2501 S Vance Dr Ste A, Florence, SC 29505-6163 | 2014-08-20 |
| Street Address |
1594 FREEDOM BLVD STE 205 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525784 | Orachun Sittisuntorn | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525784 | Orachun Sittisuntorn | Internal Medicine | 1594 Freedom Blvd Ste 205, Florence, SC 29505-6046 | 2005-08-19 |
| 1891136644 | Jennifer Marquita Carter | Internal Medicine | 302 W Dr Hicks Blvd, Florence, AL 35630 | 2013-07-09 |
| 1376846998 | Mcleod Physician Associates II | Internal Medicine | 401 East Cheves Street, Suite 201, Florence, SC 29506-2615 | 2010-12-21 |
| 1295991727 | Oncology Hematology Care, Inc. | Internal Medicine | 7380 Turfway Rd, Florence, KY 41042-1355 | 2008-08-04 |
| 1417162108 | Karim Tazi | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2007-05-14 |
| 1558575738 | Rommel Perillo Lu | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2007-05-09 |
| 1902989189 | Anthony Jacob Kalliath | Internal Medicine | 202 E Dr Hicks Blvd, Florence, AL 35630-5768 | 2006-10-23 |
| 1568405371 | Michael Dupre Pavy | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2006-06-13 |
| 1235179854 | Harry Stuart Markwell | Internal Medicine | 506 E Cheves St, Suite 202, Florence, SC 29506-2616 | 2006-06-08 |
| 1972543643 | Rajesh Bajaj | Internal Medicine | 401 E Cheves St, Suite 201, Florence, SC 29506-2615 | 2006-06-08 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.